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Chapter-07 Urinary Tract Infection in Renal Transplant Patients

BOOK TITLE: Update on Urinary Tract Infections

Author
1. Kher Vijay
2. Sharma Anil
3. Ghosh Prasun
ISBN
9789352701728
DOI
10.5005/jp/books/18034_8
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Medanta Kidney and Urology, Institute, Gurgaon, Haryana, India, Fortis Hospitals, Sector B, Pocket 1, Aruna Asaf Ali Marg, New Delhi, Indraprastha Apollo Hospital, New Delhi, India, E-mail:vkher@del3.vsnl.net.in, vkher@vsnl.com, Medanta Kidney and Urology Institute, Medanta–The Medicity, Gurgaon, Haryana, India, Medanta Kidney and Urology Institute, Medanta—The Medicity, Gurgaon, Haryana, India, Fortis Escorts Hospital, New Delhi, India, Kidney and Urology Institute, Fortis Escorts Hospital, New Delhi, India, Medanta Kidney and Urology Institute Medanta—The Medicity Gurugram, Haryana, India, Medanta Kidney and Urology Institute, Medanta–The Medicity, Gurugram, Haryana, India, Transplant Medicine, Medanta Kidney and Urology Institute, Medanta – The Medicity, Gurugram, Haryana, India, Epitome Kidney and Urology Institute, New Delhi, India
2. Monmouth Medical Center, Long Branch, NJ USA, Medanta—The Medicity, Gurugram, Haryana, India, Spine and Pain Centers of NJ and NY, Wall, New Jersey, USA
3. Medanta—The Medicity, Gurugram, Harayana, India
Chapter keywords
Urinary tract infection, renal transplant patient, fungal infection, recurrent urinary tract infection, Mycobacterium tuberculosis, Schistosoma haematobium, CMV

Abstract

Urinary tract infection (UTI) is the most common infection seen after kidney transplantation and is seen in 30–40% of recipients during the first 4 months after transplantation. Risk of both graft loss and mortality appears to be related to the time of occurrence of the infection after transplantation. Potential risk factors for development of UTI include contaminated perfusion solution, advanced age, female gender, history of reflux kidney disease, cadaveric donor, pretransplantation UTI, prolonged period of hemodialysis, polycystic kidney disease, diabetes mellitus, etc. Urinary bladder is the most common site of UTI after renal transplant and is involved in nearly 95% cases, followed by pyelonephritis. A detailed discussion on the etiologic agents, risk factors, site of infection, clinical presentation, diagnosis, general measures, treatment, atypical infections, and recurrent urinary tract infection with some other important topic has been also provided in this chapter.

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